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General NPI Number Information
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NPI Number | 1689183279
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Entity Type | Individual
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Provider Name | ALYSSA NOEMI ZELAYA MFTI/AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 2744 E 11TH STREET SUITE H02
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City | OAKLAND
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State | CA
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Zip | 94601-1509
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Country | US
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Telephone | 510-760-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 2817 HIGH ST APT 19
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City | OAKLAND
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State | CA
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Zip | 94619-2593
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Country | US
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Telephone | 415-374-6251
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF90452
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License Number State | CA
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